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Volume 47(6); November 2014
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Endoscopic Submucosal Dissection for Gastric Neoplasm at an Outpatient Clinic: Efficacy and Safety
Hwoon-Yong Jung, Ji Yong Ahn
Clin Endosc 2014;47(6):473-475.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.473
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Diagnosis of Immunoglobulin G4-Related Sclerosing Cholangitis
Ji Kon Ryu
Clin Endosc 2014;47(6):476-477.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.476
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Focused Review Series: Endoscopic Screening and Surveillance for Gastrointestinal Cancers
Prevention Strategies for Gastric Cancer: A Global Perspective
Jin Young Park, Lawrence von Karsa, Rolando Herrero
Clin Endosc 2014;47(6):478-489.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.478
AbstractAbstract PDFPubReaderePub

Despite the substantial burden of gastric cancer worldwide, population strategies for primary prevention have not been introduced in any country. Recognizing the causal role of Helicobacter pylori infection, there is increasing interest in population-based programs to eradicate the infection to prevent gastric cancer. Nonetheless, the paucity of available evidence on feasibility and effectiveness has prevented implementation of this approach. There are very few secondary prevention programs based on screening with endoscopy or radiography, notably in the Republic of Korea and Japan, two of the countries with the highest incidence rates of gastric cancer. In Korea, where the organized screening program is in place, survival rate of gastric cancer is as high as 67%. More research is needed to quantify the specific contribution of the screening program to observed declines in mortality rates. Gastric cancer screening is unlikely to be feasible in many Low-Middle Income Countries where the gastric cancer burden is high. Prevention strategies are still under development and the optimal approach may differ depending on local conditions and societal values. The present review gives an overview of the etiology and burden of the disease, and possible prevention strategies for countries and regions confronted with a significant burden of disease.

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Screening for Gastric Cancer: The Usefulness of Endoscopy
Kui Son Choi, Mina Suh
Clin Endosc 2014;47(6):490-496.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.490
AbstractAbstract PDFPubReaderePub

Gastric cancer screening is common in countries with high prevalence rates of gastric cancer. However, data supporting the effectiveness of gastric cancer screening are lacking. Thus, the aim of this review was to examine the current evidence on gastric cancer screening. Herein, we reviewed radiographic and endoscopic tests as methods of gastric cancer screening. Previous cohort studies and case-control studies have demonstrated reduced gastric cancer mortality in study populations that had undergone gastric cancer screening with radiographic tests. Recently, a case-control study in Japan reported a 30% reduction in gastric cancer mortality when screening was undertaken via endoscopy. Also, endoscopic screening for gastric cancer exhibited higher sensitivity and specificity than radiographic screening. Moreover, most cost-effectiveness analyses on the best strategy for detecting early gastric cancer have generally concluded that endoscopy is more cost-effective than radiographic testing. Although data on the impact of endoscopy screening programs on gastric cancer mortality are limited, recent study results suggest that gastric cancer screening by endoscopy in average-risk populations performs better than radiography screening. Further evaluation of the impact of these screening methods should take into account cost and any associated reduction in gastric cancer mortality.

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Endoscopic Gastric Cancer Screening and Surveillance in High-Risk Groups
Il Ju Choi
Clin Endosc 2014;47(6):497-503.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.497
AbstractAbstract PDFPubReaderePub

Gastric cancer remains a major cancer problem world-wide and future incidence will likely increase due to rapidly aging population demographics. Population-based screening is being undertaken in Korea and Japan, where gastric cancer incidence rates are high, and seems to be effective in reducing mortality from gastric cancer. However, such strategies are difficult to implement in countries with a low incidence or limited resources. Thus, screening strategies should be directed towards high-risk population subgroups. Gastric cancer has a relatively long mean sojourn time, and prognosis of early-stage disease is excellent. In general population, screening at 2-year interval in Korea seems to be effective for early-stage diagnosis. In subjects with atrophic gastritis or intestinal metaplasia, surveillance is recommended at 1 to 3 years intervals according to European and Japanese recommendation. Screening intervals for family members with sporadic gastric cancer has not yet been adequately evaluated, but 1-year interval is recommended for hereditary diffuse gastric cancer family-members. Gastric cancer patients treated by endoscopic resection are the highest-risk group, and 1-year interval surveillance can detect most metachronous gastric cancers at an early stage. Future gastric cancer surveillance strategies using endoscopy should be guided by risk-stratification assessment, and further refinement of optimal surveillance intervals is needed.

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Colon Cancer Screening with Image-Enhanced Endoscopy
Bong Min Ko
Clin Endosc 2014;47(6):504-508.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.504
AbstractAbstract PDFPubReaderePub

Colorectal cancer (CRC) is a major cause of cancer mortality worldwide, and this has led to an increased use of screening colonoscopy. This screening has resulted in long-term risk reduction in asymptomatic individuals. However, endoscopists may fail to detect advanced adenomas or colon cancer during screening. The reasons that adenomas or cancers are missed are thought to be associated with the location of the lesions or the skills of the endoscopist. To address the limitations of white light endoscopy (WLE) for adenoma detection, advanced endoscopic images have recently been used. Image-enhanced endoscopies (IEEs), including the use of topical dyes, optical filtering, and ultramagnification, allow for gastrointestinal lesion analysis. Many studies have compared the adenoma detection rate (ADR) obtained by using WLE and IEE, but with different results. IEE can be used to help the endoscopist to improve their ADR in screening colonoscopy. This review examines the possible roles of image-enhanced colonoscopy in CRC screening.

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Colon Cancer Screening and Surveillance in Inflammatory Bowel Disease
Song I Bae, You Sun Kim
Clin Endosc 2014;47(6):509-515.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.509
AbstractAbstract PDFPubReaderePub

Patients with inflammatory bowel disease (IBD) have an increased risk of developing colorectal cancer (CRC). Accordingly, the duration and anatomic extent of the disease have been known to affect the development of IBD-related CRC. When CRC occurs in patients with IBD, unlike in sporadic CRC, it is difficult to detect the lesions because of mucosal changes caused by inflammation. In addition, the tumor types vary with ill-circumscribed lesions, and the cancer is difficult to diagnose and remedy at an early stage. For the diagnosis of CRC in patients with IBD, screening endoscopy is recommended 8 to 10 years after the IBD diagnosis, and surveillance colonoscopy is recommended every 1 to 2 years thereafter. The recent development of targeted biopsies using chromoendoscopy and relatively newer endoscopic techniques helps in the early diagnosis of CRC in patients with IBD. A total proctocolectomy is advisable when high-grade dysplasia or multifocal low-grade dysplasia is confirmed by screening endoscopy or surveillance colonoscopy or if a nonadenoma-like dysplasia-associated lesion or mass is detected. Currently, pharmacotherapies are being extensively studied as a way to prevent IBD-related CRC.

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Reviews
Stricture Occurring after Endoscopic Submucosal Dissection for Esophageal and Gastric Tumors
Gwang Ha Kim, Sam Ryong Jee, Jae Young Jang, Sung Kwan Shin, Kee Don Choi, Jun Haeng Lee, Sang Gyun Kim, Jae Kyu Sung, Suck Chei Choi, Seong Woo Jeon, Byung Ik Jang, Kyu Chan Huh, Dong Kyung Chang, Sung-Ae Jung, Bora Keum, Jin Woong Cho, Il Ju Choi, Hwoon-Yong Jung, Korean ESD Study Group
Clin Endosc 2014;47(6):516-522.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.516
AbstractAbstract PDFPubReaderePub

Endoscopic submucosal dissection (ESD) is a widely accepted treatment for early gastric and esophageal cancer. Compared to endoscopic mucosal resection, ESD has the advantage of enabling en bloc removal of tumors regardless of their size. However, ESD can result in a large artificial ulcer, which may lead to a considerable deformity. Circumferential mucosal defects of more than three-fourths the esophageal circumference, long longitudinal mucosal defects (>30 mm), and lesions in the upper esophagus are significant risk factors for the development of post-ESD strictures of the esophagus. In the stomach, a circumferential mucosal defects more than three-fourths in extent and longitudinal mucosal defects >5 cm are risk factors of post-ESD stricture. If scheduled early, regular endoscopic balloon dilation is effective in controlling and preventing post-ESD stricture. Moreover, intralesional steroid injections or oral steroids can achieve remission of dysphagia or reduce the need for repeated endoscopic balloon dilation. However, further study is needed to improve the prevention of stricture formation.

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Lymph Node Metastases in Esophageal Carcinoma: An Endoscopist's View
Jin Woong Cho, Suck Chei Choi, Jae Young Jang, Sung Kwan Shin, Kee Don Choi, Jun Haeng Lee, Sang Gyun Kim, Jae Kyu Sung, Seong Woo Jeon, Il Ju Choi, Gwang Ha Kim, Sam Ryong Jee, Wan Sik Lee, Hwoon-Yong Jung, Korean ESD Study Group
Clin Endosc 2014;47(6):523-529.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.523
AbstractAbstract PDFPubReaderePub

One of the most important prognostic factors in esophageal carcinoma is lymph node metastasis, and in particular, the number of affected lymph nodes, which influences long-term outcomes. The esophageal lymphatic system is connected longitudinally and transversally; thus, the pattern of lymph node metastases is very complex. Early esophageal cancer frequently exhibits skipped metastasis, and minimal surgery using sentinel node navigation cannot be performed. In Korea, most esophageal cancer cases are squamous cell carcinoma (SCC), although the incidence of adenocarcinoma has started to increase recently. Most previous reports have failed to differentiate between SCC and adenocarcinoma, despite the fact that the Union for International Cancer Control (7th edition) and American Joint Committee on Cancer staging systems both consider these separately because they differ in cause, biology, lymph node metastasis, and outcome. Endoscopic tumor resection is an effective and safe treatment for lesions with no associated lymph node metastasis. Esophageal mucosal cancer confined to the lamina propria is an absolute indication for endoscopic resection, and a lesion that has invaded the muscularis mucosae can be cured by local resection if invasion to the lymphatic system has not occurred.

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Original Articles
Comparison of Clinical Outcomes Associated with Pull-Type and Introducer-Type Percutaneous Endoscopic Gastrostomies
Sin Won Lee, Jeong Hoon Lee, Hyungjin Cho, Yeonjung Ha, Hyun Lim, Ji Yong Ahn, Kwi Sook Choi, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clin Endosc 2014;47(6):530-537.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.530
AbstractAbstract PDFPubReaderePub
Background/Aims

Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy. The PEG techniques differ according to the insertion method, and include the pull type, push type, and introducer type. The aim of this study was to compare the clinical outcomes associated with the pull-type and introducer-type PEG insertion techniques, which included the adverse events, at our tertiary care center in Korea.

Methods

We retrospectively reviewed 141 cases that had undergone PEG insertion at our center from January 2009 to June 2012. The indications for PEG insertion and the acute and chronic complications caused by each type of PEG insertion were analyzed.

Results

The indications for PEG insertion in our cohort included neurologic disease (58.7%), malignancy (21.7%), and other indications (19.6%). Successful PEG insertions were performed on 136 cases (96.5%), and there were no PEG-associated deaths. Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%). There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

Conclusions

PEG insertion is considered a safe procedure. The pull-type and introducer-type PEG insertion techniques produce comparable outcomes, and physicians may choose either of these approaches according to the circumstances.

Citations

Citations to this article as recorded by  
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Close layer
Gastric Endoscopic Submucosal Dissection Is Safe for Day Patients
Sun Young Ahn, Sun Ik Jang, Dong Wook Lee, Seong Woo Jeon
Clin Endosc 2014;47(6):538-543.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.538
AbstractAbstract PDFPubReaderePub
Background/Aims

Although the advantages of endoscopic submucosal dissection (ESD) are well established, there are important limitations that relate to its higher cost and higher rate of complications compared with endoscopic mucosal resection. This study assessed the therapeutic safety and efficacy of ESD in the treatment of small gastric dysplasia and early gastric cancer (EGC) located within the antrum in an outpatient setting, and it compared the results with those from patients admitted to hospital for ESD treatment.

Methods

This study was a retrospective analysis of a prospectively maintained database. We reviewed consecutive patients with EGC or gastric dysplasia who underwent ESD between October 2007 and May 2008. The lesions were smaller than 2 cm and were located in the antrum. We analyzed 105 lesions in 105 patients. The patients were assigned to two groups according to each patient's preference.

Results

The overall rates of complete resection were 98.1% in the inpatients group and 94.3% in the outpatients group. Immediate bleeding occurred in four inpatients, which included one patient in the outpatient group. Delayed bleeding occurred in one inpatient within 24 hours of the procedure. Macroperforations did not occur in either group. A microperforation was found in one outpatient.

Conclusions

The safety and efficacy of ESD used to treat small gastric tumors in the antrum in an outpatient setting appeared to be similar to the safety and efficacy of ESD used to treat patients who were admitted to the hospital.

Citations

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    World Journal of Gastrointestinal Surgery.2023; 15(8): 1831.     CrossRef
  • Endoscopic submucosal dissection of gastrointestinal lesions on an outpatient basis
    Francisco Baldaque-Silva, Margarida Marques, Ana Patrícia Andrade, Nuno Sousa, Joanne Lopes, Fatima Carneiro, Guilherme Macedo
    United European Gastroenterology Journal.2019; 7(2): 326.     CrossRef
  • Risk factors for bleeding after gastric endoscopic submucosal dissection: a systematic review and meta-analysis
    Diogo Libânio, Mariana Nuno Costa, Pedro Pimentel-Nunes, Mário Dinis-Ribeiro
    Gastrointestinal Endoscopy.2016; 84(4): 572.     CrossRef
  • Gastric dysplasia: update and practical approach
    Namrata Setia, Gregory Y. Lauwers
    Diagnostic Histopathology.2015; 21(8): 312.     CrossRef
  • Endoscopic Submucosal Dissection for Gastric Neoplasm at an Outpatient Clinic: Efficacy and Safety
    Hwoon-Yong Jung, Ji Yong Ahn
    Clinical Endoscopy.2014; 47(6): 473.     CrossRef
  • 6,034 View
  • 54 Download
  • 6 Web of Science
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Endoscopic Submucosal Dissection Using a Novel Versatile Knife: An Animal Feasibility Study (with Video)
Chang-Il Kwon, Gwangil Kim, Il-Kwun Chung, Won Hee Kim, Kwang Hyun Ko, Sung Pyo Hong, Seok Jeong, Don Haeng Lee
Clin Endosc 2014;47(6):544-554.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.544
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background/Aims

In order to reduce the procedure time and the number of accessory changes during endoscopic submucosal dissection (ESD), we developed a novel versatile knife, which has the combined advantages of several conventional knives. The aim of this study was to compare the efficacy, safety, and histological quality of ESD performed using this novel versatile knife and a combination of several conventional knives.

Methods

This was an in vivo animal study comparing two different modalities of ESD in mini-pigs. Completion time of each resection was documented, and the resected specimens were retrieved and evaluated for completeness. To assess the quality control of the procedures and adverse events, detailed histopathological examinations were performed.

Results

A total of 18 specimens were dissected by ESD safely and easily (nine specimens using the new versatile knife; nine specimens by mixing conventional knives). All resections were completed as en bloc resections. There was no significant difference in procedure time between the 2 modalities (456 seconds vs. 355 seconds, p=0.258) and cutting speed (1.983 mm2/sec vs. 1.57 mm2/sec, p=1.000). The rate of adverse events and histological quality did not statistically differ between the modalities.

Conclusions

ESD with a versatile knife appeared to be an easy, safe, and technically efficient method.

Citations

Citations to this article as recorded by  
  • Comparison of synchronous dual wavelength diode laser versus conventional endo-knives for esophageal endoscopic submucosal dissection: an animal study
    Jian Tang, Shufang Ye, Xueliang Ji, Jun Li, Feng Liu
    Surgical Endoscopy.2018; 32(12): 5037.     CrossRef
  • Technological review on endoscopic submucosal dissection: available equipment, recent developments and emerging techniques
    Georgios Mavrogenis, Juergen Hochberger, Pierre Deprez, Morteza Shafazand, Dimitri Coumaros, Katsumi Yamamoto
    Scandinavian Journal of Gastroenterology.2017; 52(4): 486.     CrossRef
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  • 60 Download
  • 3 Web of Science
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IgG4 Levels in Bile for Distinguishing IgG4-Associated Cholangiopathy from Other Biliary Disorders: A Single Blinded Pilot Study
Udayakumar Navaneethan, Norma G. Gutierrez, Ramprasad Jegadeesan, Preethi GK Venkatesh, Earl Poptic, Madhusudhan R. Sanaka, John J. Vargo, Mansour A. Parsi
Clin Endosc 2014;47(6):555-559.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.555
AbstractAbstract PDFPubReaderePub
Background/Aims

Immunoglobulin G4 (IgG4)-associated cholangiopathy (IAC) is an inflammatory disease and may mimic primary sclerosing cholangitis (PSC), cholangiocarcinoma (CCA), or pancreatic cancer on cholangiography. We investigated whether IgG4 levels in bile aspirated during endoscopic retrograde cholangiopancreatography (ERCP) can distinguish IAC from PSC, CCA, and pancreatic cancer.

Methods

Bile was aspirated directly from the common bile duct during ERCP in patients with IAC prior to steroid therapy. For control purposes, bile was obtained from patients with PSC, CCA, pancreatic cancer, and benign biliary conditions (sphincter of oddi dysfunction/choledocholithiasis).

Results

Biliary IgG4 levels were measured in 54 patients. The median bile IgG4 levels were markedly elevated in patients with IAC (5.5 mg/dL; interquartile range [IQR], 5.1 to 15.6) as compared to patients with benign biliary conditions (0 mg/dL; IQR, 0 to 0.1; p=0.003). The median biliary IgG4 levels in PSC, CCA, and pancreatic cancer were 1.2 (IQR, 0.2 to 3.8), 0.9 (IQR, 0.2 to 3.4), and 0.2 mg/dL (IQR, 0.1 to 0.8), respectively. A cutoff value of 3.8 mg/dL distinguished IAC from PSC and CCA patients with 100% and 76.9% sensitivity and specificity, respectively.

Conclusions

The results of this pilot study suggest that measurement of biliary IgG4 levels may have clinical value in distinguishing patients with IAC from biliary disorders that can mimic IAC.

Citations

Citations to this article as recorded by  
  • Clinical Features, Differential Diagnosis and Treatment of IgG4-Related Sclerosing Cholangitis
    A. K. Guseva, A. V. Okhlobystin
    The Russian Archives of Internal Medicine.2024; 14(2): 96.     CrossRef
  • Review of primary sclerosing cholangitis with increased IgG4 levels
    Charis D Manganis, Roger W Chapman, Emma L Culver
    World Journal of Gastroenterology.2020; 26(23): 3126.     CrossRef
  • Immunoglobulin G4-related cholangiopathy
    Lucas J. Maillette de Buy Wenniger, Ulrich Beuers
    Current Opinion in Gastroenterology.2015; 31(3): 252.     CrossRef
  • Diagnosis of Immunoglobulin G4-Related Sclerosing Cholangitis
    Ji Kon Ryu
    Clinical Endoscopy.2014; 47(6): 476.     CrossRef
  • 6,238 View
  • 56 Download
  • 3 Web of Science
  • 4 Crossref
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Case Reports
Esophgeal Perforation and Bilateral Empyema Following Endoscopic EsophyX Transoral Incisionless Fundoplication
Hawa Edriss, Amal El-Bakush, Kenneth Nugent
Clin Endosc 2014;47(6):560-563.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.560
AbstractAbstract PDFPubReaderePub

Transoral incisionless fundoplication (TIF) has been used for endoscopic treatment of gastroesophageal reflux disease (GERD). TIF using the EsophyX device system (EndoGastric Solutions) was designed to create a full-thickness valve at the gastroesophageal junction through the insertion of multiple fasteners; it improves GERD, reduces proton pump inhibitor use, and improves quality of life. Although TIF is effective in select patients, a significant subset of patients undergoing TIF develop persistent or recurrent GERD symptoms and may need antireflux surgery to control the GERD symptoms. We now report a 48-year-old man with chronic GERD unresponsive to medical management. He underwent TIF complicated by esophageal perforation and developed mediastinitis, left pneumothorax, bilateral pleural effusions, and acute respiratory failure. He required chest tube placement and bilateral decortication for treatment of nonresolving empyemas. Additional postmarketing studies are required to assess the safety, efficacy, and clinical outcomes of this novel procedure, and patients undergoing this procedure need close postprocedural follow-up.

Citations

Citations to this article as recorded by  
  • Efficacy and patient satisfaction of single-session transoral incisionless fundoplication and laparoscopic hernia repair
    Catherine Gisi, Kelly Wang, Farhaad Khan, Sonya Reicher, Linda Hou, Clark Fuller, James Sattler, Viktor Eysselein
    Surgical Endoscopy.2021; 35(2): 921.     CrossRef
  • Endoscopic Management of Gastroesophageal Reflux Disease
    Colin G. DeLong, Joshua S. Winder
    Digestive Disease Interventions.2021; 05(02): 199.     CrossRef
  • Long-term Outcomes of Patients Receiving a Magnetic Sphincter Augmentation Device for Gastroesophageal Reflux
    Robert A. Ganz, Steven A. Edmundowicz, Paul A. Taiganides, John C. Lipham, C. Daniel Smith, Kenneth R. DeVault, Santiago Horgan, Garth Jacobsen, James D. Luketich, Christopher C. Smith, Steven C. Schlack-Haerer, Shanu N. Kothari, Christy M. Dunst, Thomas
    Clinical Gastroenterology and Hepatology.2016; 14(5): 671.     CrossRef
  • 7,046 View
  • 58 Download
  • 3 Web of Science
  • 3 Crossref
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Successful Treatment of a Gastric Plasmacytoma Using a Combination of Endoscopic Submucosal Dissection and Oral Thalidomide
Se Young Park, Hee Seok Moon, Jae Kyu Seong, Hyun Yong Jeong, Beum Yong Yoon, Se Woong Hwang, Kyu Sang Song
Clin Endosc 2014;47(6):564-567.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.564
AbstractAbstract PDFPubReaderePub

We report a rare case of a gastric plasmacytoma treated with endoscopic resection and oral thalidomide therapy. A 70-year-old man was admitted to our hospital with indigestion. He had no specific medical history and unremarkable laboratory results. Gastroendoscopic findings revealed a focal, erythematous, flat elevated lesion in the anterior wall of the stomach antrum. A biopsy revealed atypical lymphocytes. Endoscopic submucosal dissection (ESD) with an insulation-tipped knife was performed 45 days after diagnosis. Radiological and hematological evaluations, including a bone marrow biopsy, were performed and showed no involvement of other organs. The patient was diagnosed with extramedullary gastric plasmacytoma. Follow-up gastroendoscopy was performed three times during a 2-year period and showed nonspecific ESD scarring. The patient's condition was found to be stable.

Citations

Citations to this article as recorded by  
  • Endoscopic submucosal dissection of a solitary gastric plasmacytoma: “third space oddity”
    Gertjan Rasschaert, Paraskevas Gkolfakis, Pierre Eisendrath, Laurine Verset, Jacques Devière, Arnaud Lemmers
    Endoscopy.2022; 54(12): E732.     CrossRef
  • Intestinal perforation with abdominal abscess caused by extramedullary plasmacytoma of small intestine: A case report and literature review
    Ke-Wei Wang, Nan Xiao
    World Journal of Gastrointestinal Surgery.2022; 14(6): 611.     CrossRef
  • Gastrointestinal manifestations of extramedullary plasmacytoma: a narrative review and illustrative case reports
    JC Glasbey, F Arshad, LM Almond, B Vydianath, A Desai, D Gourevitch, SJ Ford
    The Annals of The Royal College of Surgeons of England.2018; 100(5): 371.     CrossRef
  • Long-term complete remission of primary gastric plasmacytoma following endoscopic resection
    João Tadeu Damian Souto Filho, Lara Vianna de Barros Lemos, Manoel Carlos Vieira Junior, Kassia Piraciaba Barboza, Bárbara Mendes Castelar, Aldmilla Espindola Leite Ribeiro, Fernanda Cordeiro da Silva
    Annals of Hematology.2017; 96(6): 1053.     CrossRef
  • Early Gastric Cancer: Trends in Incidence, Management, and Survival in a Well-Defined French Population
    Nicolas Chapelle, Anne-Marie Bouvier, Sylvain Manfredi, Antoine Drouillard, Come Lepage, Jean Faivre, Valerie Jooste
    Annals of Surgical Oncology.2016; 23(11): 3677.     CrossRef
  • Successful treatment of primary advanced gastric plasmacytoma using a combination of surgical resection and chemotherapy with bortezomib: A case report
    Sotaro Fukuhara, Hirofumi Tazawa, Hideharu Okanobu, Michiko Kida, Miki Kido, Toshiro Takafuta, Toshihiro Nishida, Hideki Ohdan, Hideto Sakimoto
    International Journal of Surgery Case Reports.2016; 27: 133.     CrossRef
  • 5,701 View
  • 46 Download
  • 6 Web of Science
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Endoscopic Diagnosis of Duodenal Stenosis in a 5-Month-Old Male Infant
Maribeth R. Nicholson, Sari A. Acra, Dai H. Chung, Michael J. Rosen
Clin Endosc 2014;47(6):568-570.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.568
AbstractAbstract PDFPubReaderePub

Duodenal stenosis and duodenal atresia are well-known gastrointestinal anomalies in patients with Down syndrome. Although duodenal atresia presents early and classically with vomiting in the immediate neonatal period, the presentation of duodenal stenosis can be significantly more subtle and the diagnosis delayed. Here, we describe the case of a 5-month-old male infant with Down syndrome and delayed presentation of high-grade duodenal stenosis diagnosed endoscopically. Pediatric gastroenterologists should include duodenal stenosis in the differential diagnosis of older infants and children with vomiting and should be familiar with the endoscopic appearance of this lesion.

Citations

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  • Clinical application of endoscopic diaphragmotomy and dilation in a congenital duodenal diaphragm
    Song Sun, Shan Zheng, Jie Wu, Zifei Tang, Chun Shen, Gong Chen, Kuiran Dong
    Frontiers in Pediatrics.2024;[Epub]     CrossRef
  • Thirty‐two‐month‐old with multiple duodenal webs diagnosed after failed gastrojejunostomy exchange successfully treated with combination endoscopic therapy
    Naomi E. B. Tjaden, Michael Acord, Jane Minturn, Myron Allukian, Petar Mamula
    JPGN Reports.2024;[Epub]     CrossRef
  • Successful treatment with endoscopic radial incision for congenital duodenal membranous stenosis in three children
    Yun-Ping Tang, Xu-Xia Wei, Xiao-Li Fu, Ning Xue, Jun-Jie Xu
    Journal of Pediatric Surgery Case Reports.2021; 74: 102043.     CrossRef
  • Robotic duodeno-duodenostomy creation in a pediatric patient with idiopathic duodenal stricture
    Andrea R. Marcadis, Carmelle V. Romain, Fuad Alkhoury
    Journal of Robotic Surgery.2019; 13(5): 695.     CrossRef
  • Hematemesis in a 5-Month-Old Girl: A Tale of Double Whammy
    Dustin Gulizia, Nujeen Zibari, Monaliza Evangelista
    Clinical Pediatrics.2018; 57(5): 615.     CrossRef
  • Detection of an Infant’s Duodenal Atresia by Milk Scan
    Ha Wu, Zhiheng Huang, Min Ji, Yiwei Li, Ruifang Zhao
    Clinical Nuclear Medicine.2017; 42(2): 140.     CrossRef
  • Small Bowel Congenital Anomalies: a Review and Update
    Grant Morris, Alfred Kennedy, William Cochran
    Current Gastroenterology Reports.2016;[Epub]     CrossRef
  • Gastrointestinal endoscopic practice in infants: Indications and outcome
    Nagla H. Abu Faddan, Almoutaz Eltayeb, Maha Barakat, Yasser Gamal
    Egyptian Pediatric Association Gazette.2016; 64(4): 160.     CrossRef
  • Clinical Practice Guidelines for the Management of Gastroesophageal Reflux and Gastroesophageal Reflux Disease: Birth to 1 Year of Age
    Michelle M. Papachrisanthou, Renée L. Davis
    Journal of Pediatric Health Care.2015; 29(6): 558.     CrossRef
  • 7,379 View
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Gastric Squamous Papilloma in a 52-Year-Old Female Patient
Hyung Ha Jang, Hyung Wook Kim, Su Jin Kim, Choel Woong Choi, Su Bum Park, Byeong Jun Song, Dong Hoon Shin, Dae Hwan Kang
Clin Endosc 2014;47(6):571-574.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.571
AbstractAbstract PDFPubReaderePub

A papilloma is a benign epithelial lesion characterized by finger-like projections of tissue lined by an overgrowth of squamous cells and a core of connective tissue. We report a case of squamous papilloma on the cardia in a 52-year-old asymptomatic female. Endoscopy showed a 1-cm sized is polyp with hyperemic change originating from the cardia adjacent to the esophagogastric junction, the biopsy of which suggested a diagnosis of squamous papilloma. Endoscopic mucosal resection was performed to obtain a definite diagnosis and the polyp was completely removed. The histological result was compatible with squamous papilloma, and its surrounding tissues showed foveolar epithelium, which suggested a stomach origin. This is the first report of endoscopic resection of a gastric squamous papilloma. Squamous papilloma should be considered in the differential diagnosis of a gastric polyp, especially one in the cardia. As the prognostic value of a squamous papilloma is not well known, we recommend endoscopic resection to treat a gastric squamous papilloma, when possible.

Citations

Citations to this article as recorded by  
  • Overexpression of Neutrophil MMP-9 and HIF-1α May Contribute to the Finger-Like Projections Formation and Histo-Pathogenesis in Nasal Inverted Papilloma
    Tao Li, Kai Sen Tan, Yan Yi Tu, Li Zhao, Jing Liu, Hsiao Hui Ong, De Yun Wang, Li Shi
    Journal of Inflammation Research.2021; Volume 14: 2979.     CrossRef
  • 7,835 View
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Polypoid Arteriovenous Malformation Presenting with Jejunojejunal Intussusceptions in an Adult
Doo-Ho Lim, Ji Yong Ahn, Myeongsook Seo, Ji Hyun Yun, Tae Hyung Kim, Hwoon-Yong Jung, Jin-Ho Kim, Young Soo Park
Clin Endosc 2014;47(6):575-578.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.575
AbstractAbstract PDFPubReaderePub

Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

Citations

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  • Arteriovenous malformation that caused prolapse of the colon and was treated surgically in an infant: a case report
    Miori Kido, Kiyokuni Nakamura, Tsuyoshi Kuwahara, Yoshitomo Yasui, Hideaki Okajima, Nozomu Kurose, Miyuki Kohno
    Surgical Case Reports.2020;[Epub]     CrossRef
  • Colonic Polypoid Arteriovenous Malformation Causing Symptomatic Anemia
    Allison Rzepczynski, Jason Kramer, Shriram Jakate, Lin Cheng, Ajaypal Singh
    ACG Case Reports Journal.2019; 6(10): e00241.     CrossRef
  • Arteriovenous malformation in the sigmoid colon of a patient with Cowden disease treated with laparoscopy: a case report
    Koichi Inukai, Nobuhiro Takashima, Shiro Fujihata, Hirotaka Miyai, Minoru Yamamoto, Kenji Kobayashi, Moritsugu Tanaka, Tetsushi Hayakawa
    BMC Surgery.2018;[Epub]     CrossRef
  • Unusual Giant Arteriovenous Malformation in Jejunum: A Case Report
    DongJa Kim, JaIl Goo
    Journal of the Korean Association of Pediatric Surgeons.2017; 23(2): 52.     CrossRef
  • 5,538 View
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Acute Pancreatitis Due to a Duodenal Ulcer
Sung Ik Pyeon, Jong Ho Hwang, Yong Tae Kim, Ban Seok Lee, Sang Ho Lee, Jae Nam Lee, Jae Hoon Cheong, Kong Jin Oh
Clin Endosc 2014;47(6):579-583.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.579
AbstractAbstract PDFPubReaderePub

Duodenal ulcers and acute pancreatitis are two of the most commonly encountered gastrointestinal diseases among the general population. However, duodenal ulcer-induced pancreatitis is very rarely reported worldwide. This report elaborates on a distinct medical treatment that contributes to partial or complete treatment of acute pancreatitis induced by a duodenal ulcer scar.

Citations

Citations to this article as recorded by  
  • Emphysematous pancreatitis associated with penetrating duodenal ulcer
    Claudio Tana, Mauro Silingardi, Maria Adele Giamberardino, Francesco Cipollone, Tiziana Meschi, Cosima Schiavone
    World Journal of Gastroenterology.2017; 23(48): 8666.     CrossRef
  • 5,325 View
  • 70 Download
  • 3 Web of Science
  • 1 Crossref
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Letter to the Editor
Pro: Propofol in Endoscopy
Alexandre Oliveira Ferreira, Marília Cravo
Clin Endosc 2014;47(6):584-585.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.584
PDFPubReaderePub
  • 4,329 View
  • 63 Download
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